Chapter 13 Diagnosis of the Director
Jiang Jiancheng did not look at the inspection report, as Cheng Huimin said, the laboratory department saw that the situation was wrong, and directly transferred it to the endocrine, and the endocrine was immediately reported to Dean Cheng.
The judgment of suspected malignant tumors did not break his mind.
The endocrine disorder caused by staying up late for a long time will inevitably cause the frequent occurrence of physical diseases, and this situation was thought out as early as when he joined the company, which is not unexpected.
But fear is still there.
Lymphoma is synonymous with death.
Who is not afraid of death?
Jiang Jiancheng is still young.
However, that 'suspicion' still gave him great confidence.
For example, the index of lactate dehydrogenase is very broadly defined, including myocardial infarction, hepatitis, pulmonary infarction, leukemia, etc., and malignant tumors are also included.
In a nutshell......
The lactate dehydrogenase value of patients with malignant tumors 'inevitably' shows an increasing trend, but the increase in lactate dehydrogenase does not necessarily mean that it is the result of several diseases.
Because the human body is an extremely complex structure.
Any factor will lead to a change in the data of the detection metrics.
For example, why must we emphasize fasting before physical examination, because diet will cause a certain amount of error in the detection index, and the so-called modern medical testing methods are not as accurate as ordinary people think.
How many patients have been misdiagnosed with cancer, only to toss for more than half a year and find that there is no at all.
Therefore, before the 'lymph node puncture' is completed, Jiang Jiancheng does not have to think so much......
Lymph node puncture, also known as lymph node biopsy, is a surgical method to take samples of lymph nodes and perform a complete laboratory test of the disease, and finally the diagnosis can be confirmed.
"In the afternoon, you go to the endocrine report in the afternoon, I will give you sick leave, prepare today, and prepare for the puncture tomorrow morning. ”
Cheng Huimin attaches great importance to this matter.
On the one hand, Jiang Jiancheng is the deputy high school he brought up single-handedly, and the relationship between master and apprentice is deep.
On the other hand, Jiang Jiancheng is of great significance to the emergency department, and it is not easy to train a leader in the emergency department.
"The emergency is ...... here"
Without waiting for Jiang Jiancheng to finish speaking, Cheng Huimin directly interrupted: "I'll come to the town first, you don't have to worry about it, wait for your diagnosis to come out, and then make plans." ”
Jiang Jiancheng thought about it, and unconsciously glanced out of the door, but said: "Tomorrow, tomorrow morning, I will go to endocrine, give me a day, and hand over the work." ”
"You!" Cheng Huimin pointed at him, "When is it, and what kind of work do you care?"
Jiang Jiancheng smiled reluctantly: "Don't persuade me about this, you also know about the day before yesterday, the car accident patient in the emergency department is still in a coma in the ICU, and this matter is careless...... Moreover, it's not too late for the day. ”
"Then this day!" Dean Cheng was still persuaded by him, "I'll go and talk to the endocrinology director about your situation first, and you call me after work in the evening, and let's have a meal together." ”
"Okay!"
Dean Cheng left, Jiang Jiancheng did not send it far, and there were not so many politeness between the master and apprentice.
Go back to the office and close the door.
In the end, he couldn't help but pick up the test sheet and read it, and when he finished reading it, he couldn't help but sit at the desk and scratch his ears and cheeks, and scratch his hair in a mess......
Thirty-four years old, deputy high, the future is bright.
He doesn't want to die!
Jiang Jiancheng's family background is actually not very good, a suburban village, his father died of illness in high school, since then he has made up his mind to practice medicine, on the one hand, to make up for the shortcomings in his heart, on the other hand, he also does not want such a misfortune to appear in his family.
Who would have thought that the last thing to go wrong would be themselves.
In his early years, he devoted himself to work, and he is still unmarried, and his old mother at home has no one to take care of him.
After struggling for a while, Jiang Jiancheng still settled down......
Walking to the cabinet, I turned out the intern file, and three of the six copies were turned over, and finally stopped at Zhou Yisheng's file.
Monday Yisheng, Qinzhong Medical University.
Household registration: No. 389, Wangyang Road, Qinzhong CX District.
He has excellent grades in his four-year professional courses, but he is a top student.
Jiang Jiancheng took out his mobile phone, opened the map, and searched for No. 389 Wangyang Road inside, and the result was a clinic called 'Zhi'antang', which was small on the second floor and not small in scale.
"Zhi'an Hall, Wang Zhi'an ......"
Recalling Zhou Yi's earlier words, Jiang Jiancheng couldn't help frowning.
To be honest, he doesn't know what Wang Zhi'an is, and he has no knowledge of Zhou Shouming, there is an invisible gap between Chinese and Western medicine, he has never been in contact with Chinese medicine, and of course he doesn't know the celebrities in the Chinese medicine field.
……
Six forty-five p.m.
On Monday, he arrived at work on time, and after handing over the shift with the people on the day shift, he went to the ward with Jingdong to make rounds.
Last night's basic suture assessment was over, and Zhou Yi's technique was as Tang Aiyun said, extremely outstanding.
Fortunately, when the stitches were stitched, others did not pay attention, and there were only Tang Aiyun and Jing Dong at the scene, but they also shocked their eyeballs.
"Okay, a medical family, it's well hidden, no wonder it's so sullen. ”
Jing Dong's good impression of Zhou Yisheng is getting better and better, in his opinion, Zhou Zhou's fixed course internship is already a certainty, and he will definitely continue to deal with him in the next six months, of course he must maintain a good relationship.
On Monday, he could feel Jing Dong's mood, but he was really not so optimistic.
Basic suturing is all about practice, and if you give others a month, you can get started quickly.
And I am burdened with the 'stain' in front of the director, whether I can do an internship or not, it is really two words.
"Brother Jing, don't laugh at me, don't mention this matter, lest others have an opinion of me. After the stitching yesterday, I had to explain my background and family background, because his suturing level was not inferior to that of the three residents in Zhijingdong, but he had his own unique understanding, and he was praised by Tang Aiyun for a while.
"I know, don't worry!"
End of ward rounds.
The people on the day shift also clocked in and left, and the two were about to go into the office to make a cup of coffee, when a call came from behind them: "Monday, you come with me." ”
"Well, the director......" Zhou was a little confused.
Jing Dong hurriedly patted him: "What are you stunned about, I am sure that you passed the stitches yesterday, and the director wants to confirm the matter of the department with you!"
Yes, is that so?
Monday went to work, and when he came to Jiang Jiancheng's office, Jiang Jiancheng sat behind his desk and waited for a long time.
"Close the door and sit in front of me. ”
"Alas. Monday did so, closed the door and sat down at the desk, but he didn't dare to say more, just waiting for the superior to ask, cautious like an old dog, extremely inconsistent with his age.
But let him be calm and calm, and he was also stunned by Jiang Jiancheng's words.
I saw Director Jiang stretch out his hand and quietly put it in front of Zhou Sheng: "You cut off my pulse, I really don't feel very comfortable recently, you can give me the next diagnosis." ”
!!!
I use traditional Chinese medicine to diagnose the director of the emergency department?!
Big brother, you're deliberately playing with me, right?!
Zhou Zhou was flustered: "Director, this, this...... Are you kidding?"
Jiang Jiancheng frowned, a little serious: "How? dare to say that you don't dare to do it? If you break it, you will break it, do I seem to be joking with you? If you can't diagnose it today, I will call you back to school directly from the internship file!!"